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      Cancer survivors' experiences with conversations about work‐related issues in the hospital setting

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          Abstract

          Objective

          Early access to work‐related psychosocial cancer care can contribute to return to work of cancer survivors. We aimed to explore: (a) the extent to which hospital healthcare professionals conduct conversations about work‐related issues with cancer survivors, (b) whether cancer survivors experience these conversations as helpful, and (c) the possible financial implications for cancer survivors of (not) discussing their work early on.

          Methods

          The Dutch Federation of Cancer Patient Organizations developed and conducted a cross‐sectional online survey, consisting of 27 items, among cancer survivors in the Netherlands.

          Results

          In total, 3500 survivors participated in this study (71% female; mean age (SD) 56 (11) years). Thirty‐two percent reported to have had a conversation about work‐related issues with a healthcare professional in the hospital. Fifty‐four percent indicated that this conversation had been helpful to them. Conversations about work‐related issues took place more frequently with male cancer survivors, those aged 55 years or below, those diagnosed with gynecological, prostate, breast, and hematological or lymphatic cancer, those diagnosed ≤2 years ago, or those who received their last treatment ≤2 years ago. There was no statistically significant association between the occurrence of conversations about work‐related issues and experiencing the financial consequences of cancer and/or its treatment as burdensome.

          Conclusions

          Although conversations about work‐related issues are generally experienced as helpful by cancer survivors, early access to work‐related psychosocial cancer care in the hospital setting is not yet systematically offered.

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          Most cited references27

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          Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review.

          Attention for the expanding group of cancer survivors at work, and the late effects they are confronted with while working, has been limited. The objective of this systematic review is to identify and summarize studies, exploring ongoing physical and/or psychosocial problems related to functioning of employees with a history of cancer, beyond their return to work.
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            Employment and work-related issues in cancer survivors.

            Purpose of this systematic literature review was to identify current knowledge about employment in cancer survivors. Sixty-four studies met inclusion criteria that were original papers published between 01/2000 and 11/2009. Overall, 63.5% of cancer survivors (range 24-94%) returned to work. The mean duration of absence from work was 151 days. Factors significantly associated with a greater likelihood of being employed or return to work were perceived employer accommodation, flexible working arrangements, counseling, training and rehabilitation services, younger age and cancer sites of younger individuals, higher levels of education, male gender, less physical symptoms, lower length of sick leave and continuity of care. Cancer survivors had a significantly increased risk for unemployment, early retirement and were less likely to be re-employed. Between 26% and 53% of cancer survivors lost their job or quit working over a 72-month period post diagnosis. Between 23% and 75% of patients who lost their job were re-employed. A high proportion of patients experienced at least temporary changes in work schedules, work hours, wages and a decline in work ability compared to non-cancer groups. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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              Who Is a Cancer Survivor? A Systematic Review of Published Definitions.

              The term "cancer survivor" is commonly used by different persons, clinical institutions, academic bodies, and political organizations although it lacks of a unanimous and detailed definition. The objective of the study is to make a systematic review of published and proposed definitions of "cancer survivor." Utilizing a systematic search strategy with different strings of "cancer survivor," we searched the following databases: Medline (June 1975-June 2015), Scopus (all the years), Web of Science (all the years), Google Scholar (all the years), ERIC (all the years). This review suggests that there is not a unique definition of who is a "cancer survivor" and what is "cancer survivorship." However, the most widely used definition sees cancer survivorship as a process that begins at the moment of diagnosis and continues through the balance of life. This definition highlights psychological and legal patient's needs-as well as medical ones-to receive care and assistance from the beginning and, at the same time, it establishes valid criteria for making scientific and statistical sampling research. The extensive use of the term "cancer survivor" indicates that it is a significant term. This review has been written to outline the state of the art and it invites to reflect on a shared definition that could satisfy both clinical and research aspects. Implication for cancer survivors: this compendium of proposed definitions may improve communication among the many patients and patient organizations that use and work with this term.
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                Author and article information

                Contributors
                p.coenen@amsterdamumc.nl
                Journal
                Psychooncology
                Psychooncology
                10.1002/(ISSN)1099-1611
                PON
                Psycho-Oncology
                John Wiley & Sons, Ltd. (Chichester, UK )
                1057-9249
                1099-1611
                19 October 2020
                January 2021
                : 30
                : 1 ( doiID: 10.1002/pon.v30.1 )
                : 27-34
                Affiliations
                [ 1 ] Department of Public and Occupational Health, Amsterdam UMC Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute Amsterdam The Netherlands
                [ 2 ] Dutch Federation of Cancer Patients Organizations (Nederlandse Federatie van Kankerpatiëntenorganisaties, NFK) Utrecht The Netherlands
                [ 3 ] Dutch Breast Cancer Organization (Borstkankervereniging Nederland, BVN) Utrecht The Netherlands
                [ 4 ] Department of Human Resources Radboud university medical center Nijmegen The Netherlands
                [ 5 ] Netherlands Comprehensive Cancer Organization (Integraal Kankercentrum Nederland, IKNL) Utrecht The Netherlands
                Author notes
                [*] [* ] Correspondence

                Pieter Coenen, Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.

                Email: p.coenen@ 123456amsterdamumc.nl

                Author information
                https://orcid.org/0000-0002-3800-0829
                Article
                PON5529
                10.1002/pon.5529
                7894286
                33037828
                03d2d475-6f48-453a-9124-1e56dc4dbc58
                © 2020 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 29 April 2020
                : 11 August 2020
                : 16 August 2020
                Page count
                Figures: 0, Tables: 4, Pages: 8, Words: 5744
                Funding
                Funded by: Dutch Federation of Cancer Patient Organizations , open-funder-registry 10.13039/501100008225;
                Categories
                Paper
                Papers
                Custom metadata
                2.0
                January 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.7 mode:remove_FC converted:19.02.2021

                cancer,cancer care,communication,employability and cancer,information needs,oncology

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